ATI RN Fundamentals Predictor Exam Form B
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
, ATI RN Fundamentals Predictor Exam Form B | Questions and
Answers | Latest 2021
1.) A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan of
care?
● Empty the collection pouch when it is 2/3 full
● expect urine outflow into pouch to begin one to two days after surgery
● change the collection pouch in the early morning
● place an aspirin in the collection pouch to control odor
Rationale: The nurse should plan to change the urinary collection pouch in the early morning when
urine output is reduced.
2.) A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank
pain. Which of the following is the priority nursing action?
● Relieve the clients pain
● Encourage the client to increase fluid intake
● Monitor the clients intake and outputs
● Strain the clients urine
Rationale: Using the urgent versus non-urgent priority-setting framework, the nurse should consider
urgent needs to be the priority because they pose a greater threat to the client. The nurse might
also need to use Maslow’s hierarchy of needs, the ABC priority-setting framework, and/or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal calculi is
severe and can lead to shock; therefore, this is the priority action.
3.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The
amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan
to administer per dose? (Fill in the blank with the numeric value only, round the answer to
the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Correct answer 10
4.) A nurse is caring for a client who has femoral thrombophlebitis and a prescription for
enoxaparin. Which of the following actions should the nurse take?
● Elevate the affected leg
● Place the client on bed rest
● Massage the affected leg
● Administer aspirin for discomfort
Rationale: The nurse should elevate the client's affected leg when the client is in bed to reduce
inflammation.
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
, ATI RN Fundamentals Predictor Exam Form B | Questions and
Answers | Latest 2021
1.) A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan of
care?
● Empty the collection pouch when it is 2/3 full
● expect urine outflow into pouch to begin one to two days after surgery
● change the collection pouch in the early morning
● place an aspirin in the collection pouch to control odor
Rationale: The nurse should plan to change the urinary collection pouch in the early morning when
urine output is reduced.
2.) A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank
pain. Which of the following is the priority nursing action?
● Relieve the clients pain
● Encourage the client to increase fluid intake
● Monitor the clients intake and outputs
● Strain the clients urine
Rationale: Using the urgent versus non-urgent priority-setting framework, the nurse should consider
urgent needs to be the priority because they pose a greater threat to the client. The nurse might
also need to use Maslow’s hierarchy of needs, the ABC priority-setting framework, and/or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal calculi is
severe and can lead to shock; therefore, this is the priority action.
3.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The
amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan
to administer per dose? (Fill in the blank with the numeric value only, round the answer to
the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Correct answer 10
4.) A nurse is caring for a client who has femoral thrombophlebitis and a prescription for
enoxaparin. Which of the following actions should the nurse take?
● Elevate the affected leg
● Place the client on bed rest
● Massage the affected leg
● Administer aspirin for discomfort
Rationale: The nurse should elevate the client's affected leg when the client is in bed to reduce
inflammation.
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
